摘要
目的探讨踝关节骨折合并三角韧带损伤时修复三角韧带的疗效。方法回顾性分析2017年12月—2019年9月北京中医医院顺义医院骨伤科收治的踝关节骨折合并三角韧带损伤患者70例,根据是否修复三角韧带分为未修复组(不行三角韧带修复,32例)和修复组(行三角韧带修复,38例)。两组踝关节骨折均给予切开复位内固定治疗。比较两组围手术期指标(手术时间、术中出血量及住院时间)、并发症及术后3个月踝关节功能,同时比较两组术前及术后3、6、12个月视觉模拟评分(VAS)和内踝间隙。结果两组术中出血量(65.36±10.57)mL vs.(63.47±10.51)mL及住院时间(16.24±3.58)d vs.(17.43±4.04)d比较差异无统计学意义(P>0.05),修复组手术时间(113.62±14.71)min显著多于未修复组(102.18±14.05)min,P<0.05。术后3个月修复组踝关节优良率(92.11%)显著高于未修复组(78.13%),P<0.05。修复组并发症总发生率(7.89%)显著低于未修复组(34.38%),P<0.05。术后3、6、12个月修复组VAS(1.13±0.22、1.01±0.21、0.84±0.19)分和内踝间隙(2.04±0.31、1.63±0.23、1.03±0.21)mm均显著少于未修复组(2.74±0.36、2.13±0.33、1.32±0.31)分,(2.71±0.37、2.02±0.35、1.31±0.33)mm,P<0.05。结论三角韧带修复可促进踝关节骨折合并三角韧带损伤患者踝关节功能恢复,减少并发症和术后疼痛,恢复患者内踝间隙正常值。
Objective To investigate the effect of deltoid of trigonal ligament on patients with ankle fracture and injury of deltoid ligament.Methods Retrospective analysis was conducted in 70 patients with ankle fracture and deltoid ligament injury in Department of Orthopedics and Traumatology,Beijing Shunyi Hospital of Traditional Chinese Medicine from Dec.2017 to Sep.2019.The patients were divided into non-repair group(n=32)and repair group(n=38)according to whether they were given deltoid ligament repair.Both groups of ankle fractures were treated with open reduction and internal fixation,the repair group was treated with deltoid ligament repair,and the non-repair group was not repaired.Perioperative parameters(operative time,intraoperative bleeding volume and hospital stay time),complications and ankle function at 3 months after operation were compared between the two groups.At the same time,the visual analogue scale(VAS)and medial malleolus space were compared between the two groups before operation and at 3,6 and 12 months after operation.Results There was no significant difference in intraoperative bleeding volume(65.36±10.57,63.47±10.51)mL and hospital stay time(16.24±3.58,17.43±4.04)days between the two groups(P>0.05),and the operation time(113.62±14.71)minutes in the repair group was significantly longer than that in the non-repair group(102.18±14.05)minutes,P<0.05.The excellent and good rate of ankle joint(92.11%)in the repair group at 3 months after operation was significantly higher than that in the non-repair group(78.13%),P<0.05.The overall incidence of complications in the repair group(7.89%)was significantly lower than that in the non-repair group(34.38%),P<0.05.The VAS(1.13±0.22,1.01±0.21,0.84±0.19)points and medial malleolus space(2.04±0.31,1.63±0.23,1.03±0.21)mm of the repair group were significantly less than those of the non-repair group[(2.74±0.36,2.13±0.33,1.32±0.31)points,(2.71±0.37,2.02±0.35,1.31±0.33)mm]at 3,6 and 12 months after operation(P<0.05).Conclusion Deltoid ligament rep
作者
王金泉
杭志刚
张立新
Wang Jinquan;Hang Zhigang;Zhang Lixin(Department of Orthopedics and Traumatology,Shunyi Hospital,Beijing Traditional Chinese Medicine Hospital,Beijing 100300,China)
出处
《创伤外科杂志》
2021年第8期584-587,共4页
Journal of Traumatic Surgery
关键词
三角韧带损伤
踝关节骨折
韧带修复
疗效
injury of deltoid ligament
ankle fracture
ligament repair
curative effect
